当前位置: X-MOL 学术J. Dual Diagn. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Trauma-informed Drug Screens for Veterans with Co-occurring Disorders: A Case Series
Journal of Dual Diagnosis ( IF 2.324 ) Pub Date : 2020-04-14 , DOI: 10.1080/15504263.2020.1744786
Arielle A J Scoglio 1 , Jay A Gorman 2, 3 , Dongchan Park 4, 5 , Shehzad Jooma 4 , Shane W Kraus 6
Affiliation  

Abstract Objective: This case series describes and illustrates the effective use of a trauma-informed approach, GLAPE, to provide drug screens for individuals in substance use treatment programs. The GLAPE approach recognizes that individuals who have experienced traumatic events and are recovering from substance use difficulties may also face unique challenges when engaging in mental health treatment. The nature of drug screening procedures in practice may feel invasive and triggering for clients with trauma histories. Finding ways to decrease barriers to treatment and increase engagement and retention are important components of effective substance use treatment. Methods: This case series involved three veteran cisgender men with posttraumatic stress disorder (PTSD) and co-occurring substance use conditions in an outpatient addiction recovery program in a Veterans’ hospital. The cases illustrate how recovery can be aided by trauma-informed approaches for urine drug screens. The treatment team evaluated various monitoring modalities and collaborated with each client to form a treatment plan that implemented the GLAPE approach to bolster their recovery. The GLAPE approach includes five components: Giving detailed instructions prior to the urine screen procedure, listening to and eliciting questions and concerns of the client, articulating options and exhibiting flexibility in the procedure to accommodate the needs of the individual client, giving permission to the client to voice concerns at any point during the procedure, and evaluating the process in collaboration with the client, including what could be improved for next time. Results: Use of the GLAPE approach effectively helped to engage and retain military veterans with co-occurring PTSD and substance use disorder within a trauma informed outpatient program. Preliminary evidence from three cases provides that this approach may be useful for use in substance use treatment with clients who have trauma histories. Conclusions: Given widespread use of observed urine drug screens in substance use treatment programs, and prominent co-occurrence of substance use disorder and PTSD, it is essential that staff approach this procedure in a trauma-informed way. This case series illustrates an approach that can improve client experience, aid clients in treatment engagement, and assist staff in the provision of effective care.

中文翻译:

对同时患有疾病的退伍军人进行创伤知情药物筛查:案例系列

摘要 目的:本案例系列描述并说明了有效使用创伤知情方法 GLAPE,为物质使用治疗计划中的个人提供药物筛查。GLAPE 方法认识到,经历过创伤性事件并正在从物质使用困难中恢复的个人在进行心理健康治疗时也可能面临独特的挑战。实践中药物筛查程序的性质可能会让有创伤史的客户感到具有侵入性和触发性。寻找减少治疗障碍并提高参与度和保留率的方法是有效物质使用治疗的重要组成部分。方法:该案例系列涉及三名患有创伤后应激障碍 (PTSD) 的资深顺性别男性,并在退伍军人医院的门诊成瘾康复计划中同时发生物质使用状况。这些案例说明了如何通过尿液药物筛查的创伤知情方法来帮助恢复。治疗团队评估了各种监测方式,并与每位客户合作制定了实施 GLAPE 方法以促进他们康复的治疗计划。GLAPE 方法包括五个组成部分:在尿液筛查程序之前给出详细说明,倾听并引出客户的问题和顾虑,阐明选项并在程序中表现出灵活性以适应个别客户的需求,允许客户在程序中的任何时候表达疑虑,并与客户合作评估流程,包括下次可以改进的地方。结果:使用 GLAPE 方法有效地帮助在创伤知情门诊计划中吸引和留住同时发生 PTSD 和物质使用障碍的退伍军人。来自三个案例的初步证据表明,这种方法可能有助于对有创伤史的客户进行药物滥用治疗。结论:鉴于在物质使用治疗计划中广泛使用观察尿液药物筛查,以及物质使用障碍和 PTSD 的显着同时发生,工作人员必须以创伤知情的方式处理该程序。本案例系列说明了一种可以改善客户体验的方法,
更新日期:2020-04-14
down
wechat
bug